Tracy B Peruch, DC is a
Naturopath based in Glendale, Arizona. Tracy B Peruch is licensed to practice in Arizona (license number 09-1105) and his current practice location is
6770 W Deer Valley Rd, #b102, Glendale, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 362-1950.
NPI number for Tracy B Peruch is 1124026307 and his current mailing address is 6770 W Deer Valley Rd, #b102, Glendale, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124026307.
Healthcare Provider's Profile
| Full Name | Tracy B Peruch |
|---|
| Gender | Male |
|---|
| Speciality | Naturopath |
|---|
| Location | 6770 W Deer Valley Rd, Glendale, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124026307
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 04/06/2009
Medical Identifiers
Medical identifiers for Tracy B Peruch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124026307 | NPI | - | NPPES |
| 1Z5304 | Other | AZ | HEALTH NET |
| AZ0940160 | Other | AZ | BLUE CROSS BLUE SHEILD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5710 (Arizona) | Secondary |
| 175F00000X | Naturopath | 09-1105 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy B Peruch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy B Peruch, DC
6770 W Deer Valley Rd, #b102,
Glendale, AZ 85310-5956
Ph: (623) 362-1950 | Tracy B Peruch, DC
6770 W Deer Valley Rd, #b102,
Glendale, AZ 85310-5956
Ph: (623) 362-1950 |
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